HCPCS Q4171

Interfyl, 1 mg

Current codeSkin Substitute Products24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS Q4171 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3,948 – $9,8962 plans$2,163 – $4,657$5,408 – $11,642
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2,009 – $8,4995 plans$2,163 – $4,657$5,408 – $11,642
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$14.79 – $45.264 plans$1,871 – $3,675$2,673 – $5,251
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$15.89 – $27.293 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$3,493 – $9,4776 plans$2,163 – $4,657$5,408 – $11,642
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$3,948 – $8,4992 plans$2,163 – $4,657$5,408 – $11,642
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$3,948 – $8,4992 plans$2,163 – $4,657$5,408 – $11,642
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$3,948 – $8,4992 plans$2,163 – $4,657$5,408 – $11,642
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2,009 – $8,3825 plans$2,163 – $4,657$5,408 – $11,642
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$22.15 – $23.583 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$14.29 – $22.422 plans$1,907 – $4,517$2,724 – $6,452
Providence Centralia HospitalCentraliaFile dated 2026-04-01$35.73 – $77.793 plans$3,114 – $7,390$5,989 – $14,211
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$14.29 – $22.422 plans$1,907 – $4,517$2,724 – $6,452
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$1,819 – $4,314$2,599 – $6,163
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$14.29 – $22.422 plans$3,254 – $7,095$6,258 – $13,644
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$1,819 – $4,314$2,599 – $6,163
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$67.381 plan$1,876 – $4,016$2,681 – $5,737
Providence St Peter HospitalOlympiaFile dated 2026-04-01$22.421 plan$3,114 – $7,390$5,989 – $14,211
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$14.29 – $22.422 plans$1,975 – $4,437$4,115 – $9,244
Swedish IssaquahIssaquahFile dated 2026-04-01$14.29 – $22.422 plans$1,975 – $4,437$4,115 – $9,244
Swedish Medical CenterSeattleFile dated 2026-04-01$14.29 – $22.422 plans$1,975 – $4,437$4,115 – $9,244
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$14.29 – $22.422 plans$1,975 – $4,437$4,115 – $9,244
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$3,948 – $8,4992 plans$2,163 – $4,657$5,408 – $11,642
Yakima Valley MemorialYakimaFile dated 2026-08-27$27.39 – $4,8367 plans$2,257$5,643

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.